Simulation Week Brings Realistic Experiential Learning to Medical Trainees
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PAPRSB Institute of Health Sciences held a simulation exercise in conjunction with Healthcare Simulation Week where students' knowledge and skills were put to the test in a controlled simulated environment.

Healthcare Simulation Week is an annual event celebrated globally by simulation users from 11th to 15th September. Aimed at increasing awareness among healthcare practitioners in using simulation to improve patient safety through effective and efficient patient care and healthcare delivery, the emphasis of the activity is on pre-hospital and in-hospital patient assessment, management, safety and team dynamics. Simulation-based education is a powerful tool for reinforcing clinical knowledge, improving team communication and teaching essential decision-making skills. It provides ample opportunities for hands-on skills practice without putting patients at risk.

The theme of the exercise was "Bridging Clinical Competency Through the Theatre of Simulation Based Learning" and in addition to mannequins, actors playing the roles of victims and patients added to the authenticity of the simulation.

"Healthcare is a multidisciplinary profession," Norashikin Haji Md Sofian from PAPRSB IHS said. "Through this simulation drill, the simulation team intend to boost the students' confidence in handling emergency cases and also to develop team dynamics among them."

The simulation activity began with a road traffic accident scenario involving two cyclists, a roadside worker and a car carrying three family members. The public reported the incident and the trainee paramedics were called upon to manage the cases of poly-trauma as a result of the accident which inlcuded lacerations, as well as head, spinal and musculoskeletal injuries. In addition, a woman who is 37-weeks pregnant was also one of the casualties. All casualties were eventually transported to the Emergency Department to have their injuries managed. Two of the casualties required emergency surgery, blurr-hole surgery and open reduction internal fixation, in the operating theatre. A child was admitted to the pediatric ward, requiring close neurological and post-casting observation. The pregnant mother was admitted to the labour ward for observation and monitoring. During the admission, her vital signs deteriorated and cardiotocograph (CTG) showed fetal distress. The students were expected to identify the signs and symptoms and manage hypovolemic shock and fetal distress. Replicating actual events in the emergency Department, two more patients were later brought in with complaints of chest pain and abdominal pain, dizziness and headache.

A total of 63 students participated in the centre-wide simulation activity. This included students from PAPRSB IHS UBD and School of Health Science, Politeknik Brunei, namely medicine, paramedic, nursing and midwifery students. Also participating were four Nursing students from Mahidol University, Thailand.

Officially opened on 26th June 2014, the PAPRSB IHS Simulation Centre features a general ward, an operating theatre, critical care centre, labour and neonates areas, as well as emergency and medical centres. Participants get hands-on practical experience that cover different clinical scenarios such as advanced cardiac life support, airway management, analysing electrocardiogram, obstetric and paedatric settings. Computer-controlled High Fidelity Mannequins train students in emergency cases and Low Fidelity Mannequins ones are used for simple training. Computer-controlled High Fidelity Mannequins train students in emergency cases and Low Fidelity Mannequins ones are used for simple training.

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